Individual
CODY MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
819 S 3RD ST, CLINTON, IN 47842-2205
(765) 832-2464
(765) 832-1638
Mailing address
PO BOX 266, CLINTON, IN 47842-0266
(765) 832-9301
(765) 832-9302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003351A
IN
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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